<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Channelcode')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-channelCode" data-rule="required" class="form-control" name="row[channelCode]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Outtradeno')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-outTradeNo" data-rule="required" class="form-control" name="row[outTradeNo]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Subject')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-subject" data-rule="required" class="form-control" name="row[subject]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Membername')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-memberName" data-rule="required" class="form-control" name="row[memberName]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Certno')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-certNo" data-rule="required" class="form-control" name="row[certNo]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Cardtype')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-cardType" data-rule="required" class="form-control selectpicker" name="row[cardType]">
                {foreach name="cardtypeList" item="vo"}
                    <option value="{$key}" {in name="key" value="C"}selected{/in}>{$vo}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Bankname')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-bankName" data-rule="required" class="form-control" name="row[bankName]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Cardno')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-cardNo" data-rule="required" class="form-control" name="row[cardNo]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Phoneno')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-phoneNo" data-rule="required" class="form-control" name="row[phoneNo]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Cvn2')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-cvn2" data-rule="required" class="form-control" name="row[cvn2]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Validdate')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-validDate" data-rule="required" class="form-control" name="row[validDate]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Txnamount')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-txnAmount" data-rule="required" class="form-control" name="row[txnAmount]" type="number">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Charge')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-charge" data-rule="required" class="form-control" name="row[charge]" type="number">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Notifyurl')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-notifyUrl" data-rule="required" class="form-control" name="row[notifyUrl]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Smsno')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-smsNo" data-rule="required" class="form-control" name="row[smsNo]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Smscode')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-smsCode" data-rule="required" class="form-control" name="row[smsCode]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Shouyi')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-shouyi" data-rule="required" class="form-control" name="row[shouyi]" type="number">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Txnstatus')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-txnStatus" data-rule="required" class="form-control" name="row[txnStatus]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Tradeno')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-tradeNo" data-rule="required" class="form-control" name="row[tradeNo]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Description')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-description" data-rule="required" class="form-control" name="row[description]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Respmsg')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-respMsg" data-rule="required" class="form-control" name="row[respMsg]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Respcode')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-respCode" data-rule="required" class="form-control" name="row[respCode]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Appid')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-appid" data-rule="required" class="form-control" name="row[appid]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Tradetype')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-tradeType" data-rule="required" class="form-control selectpicker" name="row[tradeType]">
                {foreach name="tradetypeList" item="vo"}
                    <option value="{$key}" {in name="key" value=""}selected{/in}>{$vo}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Store_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-store_id" data-rule="required" data-source="store/index" class="form-control selectpage" name="row[store_id]" type="text" value="">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
        </div>
    </div>
</form>
